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ATI Capstone > Pediatrics - Week 5 Tips > Flashcards

Pediatrics - Week 5 Tips Flashcards

(65 cards)

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1
Q

Acetaminophen Toxicity Range

A

↑ 200 mcg/mL

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2
Q

Glucose RangeProgression
Day 1
↑ Day 1
Child

A

40 - 60
50 - 90
90 - 100 mg/dL

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3
Q

Hct of infant vs. adult Range

A

HIGH

48 - 69% day 1

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4
Q

Hgb infant vs adult Range

A

HIGH

14.5 - 22.5 g/dL

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5
Q

Fatal Iron poisoning and general range

A

↑ 1,800 mcg/dL

50 - 250 mcg/dL

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6
Q

Platelets Range of infants

A

starts at 84,000 - 400,000 but is SAME as adult by 1 week

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7
Q

Therapeutic Salicylate Range

A

15 - 30 mg/dL

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8
Q

Salicylate function? how?

A

↓ inflammation by inhibitng prostaglandin synthesis

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9
Q

Leukocyte Range Progression

A

HIGH

9.0 - 30.0, ↓ w/ age

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10
Q

BP Range Progression from 1 year

A

LOW
♂ 80/34 ♀ 83/38
↑ with age

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11
Q

Temperatures Peds

A

LOW

36.5 - 37.2 Oral @ 1 year

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12
Q

HR Range Progression

A

Birth - 1 Week = 100 - 160 bpm
1 week - 3months = 100 - 220min
Starts dropping afterwards…

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13
Q

Respiration Range Progression

A

HIGH

Newborn 30 - 60/min ↓ with age

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14
Q 
Pain Assessment by Age
2 mo - 7 years
3 years+
3 - 13 years
5 years+
3 - 18 years
A 
FLACC
Faces
Oucher
Numeric
Non-communicating pain checklist
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15
Q

FLACC (10/10)

A 
Each = 2 points
Face 
Legs
Activity
Cry
Consolability
0 = nothing, 2 = extreme, 1 = inbetween
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16
Q

FACES and Oucher

A

Scales 1 - 5, but 2x for 0/10 score

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17
Q

Non-communicating Children’s Pain Checklist (VSALP)

A 
Observe behaviors 10 minutes
#activities for... Vocal, social, facial, activity, limbs, physiological (0 - 3pts ea)

0 = none
3 = extreme
1 - 2 = inbetween

+11 = modeate/severe
6 - 10 = mild

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18
Q

Traditional Nuclear Family

A

Married w/ biological kids

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19
Q

Nuclear Family

A

Parents w/ NOT biological kids

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20
Q

Blended Family

A

+Step/Half-parent/sibling

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21
Q

Extended Family

A

+1 outsider

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22
Q

Binuclear Family

A

Terminated marriage but continue to parent child

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23
Q

Communal Family

A

Share ownership property w/out monetary consideration

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24
Q

Freud Stages of Development (5)

A 
Oral
Anal
Phallic
Latency
Genital
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25
Piaget Stages of Development (5)
``` Sensorimotor Transition to Preoperational Preoperational Concrete Operations Formal Operations ```
26
Gout function? how?
Type of arthritis when dietary proteins are broken down and creates uric acid that crystalizes in joints
27
Gout Medications (3) and rationale
NSAID Prednisone (Deltasone) - pain Colchicine (Colgout) - inflammation r/t gout AllopPURINOL (Zyloprim) - prevents uric acid production
28
Gout Education (6)
``` Do NOT eat Fish Yeast Organ meat Legumes Meat extracts Mushrooms ```
29
Anti-reabsorptives function
Slow bone removal from resorption/improve bone mass
30
Antiresorptive medication examples (3)
Biphosphonates Alendronate (Fosamax) Risedronate (Actonel)
31
Aldronate (Fosamax) ADFX
Associated w/ severe esophagitis, avoid if hx gastric ulcers
32
Risedronate (Actonel) ADFX
Associated w/ esophageal irritation, take on empty stomach w/ 8 oz water
33
Antirheumatics treat? how?
Rheumatoid Arthritis (RA) by delaying progression and s/s relief
34
Cytotoxic Medications examples (2) and function
Methotrexate (Rheumatrex) Leflunomide (Arava) Kill cancer cells
35
Antimalarial Agent example (1) and education (2)
Hydroxychloroquine (Plaquenil) eye exam; report blurred vision
36
Anti-inflammatory example (1)
Sulfasalazine (Azulfidine)
37
Tetracycline Antibiotic examples (2)
TetraCYCline (Sumycin) DoxyCYCline (Vibramycin) MinoCYCline (Minocin) DemecloCYCline (Declomycin)
38
How to NSAIDS work?
Inhibit cyclooxygenase which halts COX-1/2 production r/in ↓ platelet aggregation/kidney damage and ↓ inflammation, fever, pain
39
``` NSAID examples (7) AIN DKM ```
Aspirin Ibuprofen Naproxen Indomethacin Diclofenac Ketorlac Meloxicam
40
Tetracycline function? how?
inhibit micro-organism growth by preventing protein synthesis
41
Cytotoxic Education
Supresses bone marrow and ↑ r/o infection. CBC q3-6months
42
Gold Salt: Auranofin Education (3)
GI d/comfort Blood dyscrasias (observe for bleeding) STOP if rashes/proteinuria (toxicity)
43
Tumor Necrosis Factor Antagonists examples (3)
Etanercept (Enbrel) Infliximab (Remicade) Adalimumab (Humira)
44
B-lymphocyte depleting agent example (1)
Rituximab (Rituxan)
45
Interleukin-1 Receptor antagonist example (1)
Abatacept (Orencia)
46
Tumor Necrosis Factor Education (2)
Monitor skin for bleeding/reaction (Steven Johnson syndrome) | Monitor for worsening ♥
47
Steven Johnson Syndrome
reaction to medication/infection starting w/ flu-like symptoms and a painful red/purple rash
48
Glucocorticoid (Prednisone) ADFX (3)
Osteoporosis Hyperglycemia Hypokalemia
49
Pencillamine Education (2)
Obtain CBCs q3-6mo (bone suppression) | Stop w/ rashes (toxicity)
50
Cytotoxic Medication Education (4)
↑ r/o infection CBCs q3-6mo (suppression) inspect gums, throat (Ulcerative stomatitis) Ø with prego!
51
Glucocorticoid examples (2)
Prednisone (Deltasone) | Prednisolon (Prelone)
52
DMARD basic function
slow joint degeneration and progression of rheumatoid arthritis
53
Rheumatrx (Methotrexate) is that...?
Most commonly used DMARD
54
DMARD ADFX antidote?
Folic acid
55
Antineoplastics (chemotherapy) function?
combat cancer cells
56
Chemotherapy ADFX MED FAAN
``` N/V Diarrhea/Constipation Alopecia Anorexia Fatigue/Exhaustion Mouth Sores Easy Bruising ```
57
Chemotherapy example (1)
Fluorouracil (5-FU)
58
Fluorouracil (5-FU) ADFX (6) DSLASE
``` Diarrhea Stomach pain Low platelets Anemia Sensitive skin (to sun) Excessive tear formation ```
59
Extravasation NR tips (3)
Check site frequently for pain/reddening Elevate arm Slowly aspirate back blood back from arm
60
4 Types of Oral Hypoglycemics BATS
Biguanides Alpha-glucosidase inhibitors Sulfonyureas
61
Oral Hypoglycemia function?
Assist w/ glucose metabolism
62
Sulfonylurea examples (2), function, 1 ADFX
Tolbutamide (Orinase) Glyburide (Micronase) ↑ insulin production Weight gain
63
Biguanide example, function, 1 ADFX
Metformin ↓ glucose production in liver Weight loss
64
Thiazolidinedione function and 1 ADFX
↓ insulin resistance ↓ glucose production ↑ glucose uptake Liver damage
65
Acarbose (Precose), function, 2 ADFX
Acarbose (Precose) ↓ dietary glucose absorption Flatus/Diarrhea

ATI Capstone (9 decks)

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